Related Experiment Video
Updated: Sep 2, 2025

Protection of H9c2 Myocardial Cells from Oxidative Stress by Crocetin via PINK1/Parkin Pathway-Mediated Mitophagy
Published on: May 26, 2023
Modulating Lysine Crotonylation in Cardiomyocytes Improves Myocardial Outcomes
Wenqian Cai1, Dacai Xu1,2, Chui Zeng1
1Heart Center and Institute of Pediatrics (W.C., D.X., C.Z., R.L., Y.L., Y.Z., W.D., Q.W., D.W., J.G., J.W., J.D.), Guangzhou Women and Children's Medical Center, Guangzhou Medical University, China.
Insights
Lysine crotonylation (Kcr) is a key response to cardiac ischemia-reperfusion injury, impacting cardiomyocyte function. Modulating Kcr offers a potential therapeutic target for ischemic heart disease.
Area of Science:
- Biochemistry
- Cardiovascular Biology
- Molecular Medicine
Background:
- Ischemic heart disease presents significant global health challenges with limited functional recovery.
- Lysine crotonylation (Kcr), a post-translational modification, is linked to active gene promoters.
- The role of Kcr in myocardial injury remains largely unexplored.
Purpose of the Study:
- To elucidate the pathophysiological significance of Kcr in cardiac injury.
- To investigate the underlying mechanisms of Kcr in myocardial damage.
Main Methods:
- Dynamic changes in Kcr sites and protein levels were assessed in left ventricular tissues post-ischemia-reperfusion.
- Liquid chromatography-coupled tandem mass spectrometry (LC-MS/MS) was employed.
- Gain- and loss-of-function mutations targeting specific Kcr sites were utilized in vitro and in vivo.
Main Results:
- Cardiac ischemia-reperfusion injury induced preferential Kcr of proteins involved in cardiomyocyte contractility, including mitochondrial and cytoskeletal proteins.
- Kcr changes were associated with disrupted cardiomyocyte mitochondrial and sarcomere architecture, autophagy, and apoptosis.
- Modulating Kcr, specifically of IDH3a and TPM1, or enhancing general Kcr protected cardiomyocytes and preserved myocardial function by inhibiting apoptosis and fibrosis.
Conclusions:
- Kcr modulation is a critical response of cardiomyocytes to ischemia-reperfusion injury.
- Targeting Kcr represents a novel therapeutic strategy for ischemic heart disease.
Background:
Ischemic heart disease is a major global public health challenge, and its functional outcomes remain poor. Lysine crotonylation (Kcr) was recently identified as a post-translational histone modification that robustly indicates active promoters. However, the role of Kcr in myocardial injury is unknown. In this study, we aimed to clarify the pathophysiological significance of Kcr in cardiac injury and explore the underlying mechanism.
Methods:
We investigated the dynamic change of both the Kcr sites and protein level in left ventricular tissues at 2 time points following sham or cardiac ischemia-reperfusion injury, followed by liquid chromatography-coupled tandem mass tag mass spectrometry. After validation of the enriched protein Kcr by immunoprecipitation and Western blot, the function and mechanism of specific Kcr sites were further investigated in vitro and in vivo by gain- or loss-of-function mutations targeting Kcr sites of selected proteins.
Results:
We found that cardiac ischemia-reperfusion injury triggers preferential Kcr of proteins required for cardiomyocyte contractility, including mitochondrial and cytoskeleton proteins, which occurs largely independently of protein-level changes in the same proteins. Those exhibiting Kcr changes were associated not only with disruption of cardiomyocyte mitochondrial, sarcomere architecture, and gap junction but also with cardiomyocyte autophagy and apoptosis. Modulating site-specific Kcr of selected mitochondrial protein IDH3a (isocitrate dehydrogenase 3 [NAD+] alpha) at K199 and cytoskeletal protein TPM1 (tropomyosin alpha-1 chain) at K28/29 or enhancing general Kcr via sodium crotonate provision not only protects cardiomyocyte from apoptosis by inhibiting BNIP3 (Bcl-2 adenovirus E18 19-kDa-interacting protein 3)-mediated mitophagy or cytoskeleton structure rearrangement but also preserves postinjury myocardial function by inhibiting fibrosis and apoptosis.
Conclusions:
Our results indicate that Kcr modulation is a key response of cardiomyocytes to ischemia-reperfusion injury and may represent a novel therapeutic target in the context of ischemic heart disease.
Related Concept Videos
Cardiomyopathy V: Interprofessional Care
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Cardiomyopathy IV: Restrictive Cardiomyopathy
Cardiomyopathy II: Dilated Cardiomyopathy

